AI ABA Compliance Software: Audit 100% of Your Session Notes

ABA (Applied Behavior Analysis) funders are auditing harder than ever. Brellium reviews every note before submission, ensuring zero clawbacks.

Request Demo

100% of session notes. Backed by our clawback protection guarantee.

Trusted by leading ABA therapy organizations

HopebridgeABS KidsBrighter StridesProud MomentsCompass ABADouble Care ABAFull Spectrum ABALinks ABA
The Problem

Surviving a Funder Audit on Your ABA Session Notes

OIG audits are targeting ABA at record levels. States are tightening authorization requirements, and funders want proof that care happened as billed.

Manual sampling misses what audits are built to find: cross-note misalignment, late signatures, copy-pasted language. Brellium audits 100% of session notes before submission.

Therapist and child during an ABA therapy session
How Brellium Works

How Brellium Audits 100% of Your ABA Session Notes

Brellium connects directly to your EMR and audits every session note automatically — no manual uploads, no sampling. Each note is audited against 100+ payor, clinical, and administrative requirements — the same standard at 50 providers or 500.

01

Session Note Auditing

Audit every 97151, 97153, 97155, and 97156 note for documentation compliance before claims go out.

02

Cross-Note Validation

Catch misalignment between a BCBA's 97155 supervision note and the RBT's corresponding 97153 — participants, goals, and time overlap.

03

Clawback Protection

Backed by Confidence Coverage: if a documentation gap slips through and triggers a clawback, Brellium covers the cost 100%.

04

Treatment Plan Auditing

Catches missing goals, baseline data, discharge criteria, and parent training objectives before a plan holds up authorization.

Standard Deployment

  • 100% session-note audit against 100+ criteria across all ABA codes (97151 / 97153 / 97155 / 97156)
  • Cross-note validation (97155 ↔ 97153 alignment)
  • Timesheet / signature / goal / narrative / billing-accuracy checks
  • Payor-specific rule sets
  • Provider scorecards
  • Confidence Coverage clawback guarantee

Enterprise Customization

  • Custom questions beyond the standard set (org-specific standards, funder rules, EMR format)
  • Custom EMR integrations
  • Treatment-plan auditing (separate SKU)
Risk Detection

Common ABA Compliance Risks Brellium Catches

01

Missing Parent/Caregiver Signatures

Flags session notes missing required signatures before claims go to funders.

02

Overlapping Service Times

Detects overlapping service times across providers or clients, a common audit trigger.

03

Goals vs. Authorized Hours Mismatch

Catches when the treatment goals don't align with authorized service hours.

04

Goals Not Aligned to Treatment Plan

Flags goals and interventions that drift from the certified treatment plan.

05

Academic or Generic Language

Detects notes that read like textbook language instead of individualized, client-specific observations.

06

Billing Accuracy Gaps

Flags mismatched units, sessions outside allowed length, or double billing.

07

100+ Additional Requirements

Checked against 100+ payor, regulatory, and clinical criteria, updated automatically.

Testimonials

What ABA Providers Say About Brellium

“In this environment, it’s essential to be able to clearly explain your compliance and quality standards. We came to Brellium to make sure our new QA policy reflects our organization’s values. It needed to be clear, complete, and leave zero questions about how seriously we take care quality. They were a great partner and together we created a policy that accomplishes exactly that.”

Ruth Kutcher-Bier
Ruth Kutcher-BierClinical Director, Alight Behavioral Therapy
Alight Behavioral Therapy
Proven Results

Impact for ABA organizations

The outcomes ABA providers see when every session note is audited before it reaches a funder.

16M+
Charts Protected
$1.4B+
Claims Protected
$0
Documentation-Related Clawbacks
on Brellium-certified charts
13x
Faster Chart Reviews
vs. manual auditing
Why It Matters

Built for How ABA Compliance Works at Scale

State-by-State Medicaid Rules

ABA is Medicaid-run, and rules shift state by state. What clears in one state can fail in another. Brellium applies funder- and state-specific rules automatically, no manual tracking.

A Young, High-Volume Workforce

RBTs write thousands of session notes a week at 500+ providers. Brellium audits every one, not a sample, and flags coaching needs before they become a clawback.

Clinical compliance team reviewing documentation

100% Audit Coverage. Zero Clawbacks.

Manual review misses what audits are built to find. Brellium checks every note, backed by Confidence Coverage.

FAQ

FAQs About ABA Compliance

Can 97153 and 97155 be billed together?

Yes, in the same treatment episode; they cover different roles. 97153 is the technician's direct implementation of the plan, and 97155 is the BCBA's real-time protocol modification. Many payors require prior authorization for 97155 and cap 97153 session length, so the exact rule depends on your funder. Brellium's cross-note validation checks that both notes align on participants, goals, and time before a claim goes out.

What are the documentation requirements for ABA session notes?

ABA session notes must include sufficient goal documentation, data collection, and behavior-analytic narrative to support the billed CPT code. Full requirements include:

  • Goals and data collection tied to the treatment plan
  • Behavior-analytic narrative language, not generic or academic phrasing
  • Timesheet alignment — date, time, location, and service code
  • Signature within 24 hours, dated after the session ends
  • Cross-note consistency between related codes (97153/97155)

Brellium checks each note against 100+ requirements total, including payor-specific rules that vary by funder.

What triggers an ABA Medicaid or insurance audit?

ABA audits are typically triggered by documentation gaps: notes that don't support billed units, missing signatures, or narrative that doesn't match the treatment plan. OIG audits are targeting ABA at record levels, and states like Indiana and Wisconsin have ramped up enforcement specifically.

How do you prepare for an ABA audit?

ABA audit preparation starts before a funder ever asks: audit every session note when it's written, not after it's flagged. Brellium reviews 100% of notes against payor and clinical requirements automatically, catching the errors that manual sampling misses.

What are the ABA CPT codes?

The four core ABA CPT codes are:

  • 97151 — behavior identification assessment (BCBA)
  • 97153 — direct treatment (RBT)
  • 97155 — supervision and protocol modification (BCBA)
  • 97156 — family/caregiver training (BCBA)

Each code has its own documentation requirements and daily unit limits.

What software helps ABA practices prepare for insurance audits?

Software like Brellium helps ABA practices prepare for insurance audits by reviewing 100% of session notes against payor, clinical, and administrative requirements before a claim goes out. It's backed by Confidence Coverage, which covers the cost if a clawback happens anyway.

What should I look for in AI-assisted ABA compliance software?

AI-assisted ABA compliance software should offer 100% note coverage instead of sampling, cross-note validation (checking that a 97155 aligns with its 97153), and clawback protection. Brellium is validated as 59% more accurate than human auditors across millions of ABA notes.

We use a scribe to create our notes. Do we still need compliance software?

Yes. A scribe helps you write notes faster, but it doesn't check whether those notes meet payor and regulatory requirements. Brellium audits the notes your scribe produces, the same way it audits any other note.

Which insurance payors does Brellium support for ABA therapy?

Brellium supports ABA documentation compliance across 100+ funder-specific rule sets, including Medicaid, Tricare, and major commercial insurers like Optum, Anthem, Cigna, Aetna, UnitedHealthcare, Magellan, and Blue Cross Blue Shield.

Because every funder has different documentation requirements, and those requirements change, Brellium's audit criteria are updated as payor policies evolve, so your team is always being checked against current standards rather than a static ruleset.